RECUPERACION FUNCIONAL DE PACIENTE CON TUMOR MAXILAR SUPERIOR E INVASION DE MUSCULATURA PTERIGOIDEA

Blanca Sandoval Igelmo

Resumen


ABSTRACT

INTRODUCTION

Adenoid cystic Carcinoma (CAQ) is a  salivary glands tumor with a biological behavior characterized by a high rate of local recurrences and  a rate of metstases between 40% and  60%.

It accounts for 30% of facial tumors. The treatment consists of surgery, chemotherapy and radiotherapy. Itusually causes important sequelae such as swallowing disfunction, dysartria and temporomandibular joint ankylosis. 

CLINICAL CASE

An adenoid cystic tumor that invaded the locallypterygoid musculature with a perineural extension was diagnosed in a 27-years-old patient in may 2016. As the patient is a musician, he plays the horn, he was treated by the Medicine of the Musicians Healthcare Service.  

The patient presented a partial resection of the maxilar added with an extensive exeresis of palatal veil. The tumor treatment included chemioteraphy and radiotherapy with a  successfull result and a complete illness remission.
PHYSICAL EVALUATION 
Once completed the chemioteraphy and radiotherapy treatment, the phyisical evaluation determined some sequlae such as swallowing disfunction and a maxilar anquilosis with limited mouth opening. 

The patient treatment consisted of physiotherapy and speech therapy with the objetive of recovering swallowing and speech function 

In adtition, the pacient followed a training program of respiratory exercises.
EVOLUTION 
After the traitment, we observeda complete recovery of swallowing and speech functions despite the patient was not able, at that moment, to play the horn because of a lack of structure in his palatal veil caused by the surgery.


DISCUSSION

In cases of extensive resection of the oral cavity, the sequelae are usually oropharyngeal dysphagia and speech disfunction. They can be avoided by using  speech therapy and phisiotherapy treatments.


Key words: Adenoid cystic Carcinoma, Rehabilitation, Speech Therapy 

 


Palabras clave


Carcinoma adenoide quístico Tumor maxilar, Rehabilitación, Logopedia

Referencias


Bradley PJ. Adenoid cystic carcinoma of the head and neck: a review. Curr Opin Otolaryngol Head Neck Surg [Internet]. 2004;12(2):127–32. Available from:http://www.ncbi.nlm.nih.gov/pubmed/15167050

Eby LS, Johnson DS, Baker HW. Adenoid cystic carcinoma of the head and neck. Cancer [Internet]. 2018 Se 15;29(5):1160–8. Available from: https://doi.org/10.1002/1097-0142(197205)29:5%3C1160::AID-CNCR2820290506%3E3.0.CO

Reyes VCA, Gallegos HF, García HMA, Bustos TM, Nambo LMJ S. A Prevención, tratamiento y rehabilitación oral en el paciente oncológico. Importancia del manejo integral y multidisciplinario Rev ADM 2010; 67 (5).

Souto Camba S, Pardo Carballido C, Paseiro Ares G, Álvarez Espiño M., Fernández García A. Fisioterapia y reeducación de la deglución en la cirugía por cáncer de cabeza y cuello. Fisioterapia [Internet]. 2003 Jan 1 [cited 2018 Oct 15];25(5):311–27. Available from: https://www.sciencedirect.com/science/article/pii/S021156380373070

Galarza Ibarrondo I, Ortiz Fernández L, Andikoetxea Agorria B. Tratamiento de la disfagia y la disglosia tras glosectomía total y reconstrucción con colgajo libre fasciocutáneo anterolateral de muslo: A propósito de un caso. Rev Logop Foniatr y Audiol. 2014;

Valencia González B. Anatomía humana y disfagia. Intervención logopédica en un caso de disfagia. 2017 [cited 2018 Oct 15]; Available from: http://uvadoc.uva.es/handle/10324/25044

Marmouset F, Piller AG, Bobillier C, Pondaven S, Lescanne E. Insuficiencia velofaríngea. EMC - Otorrinolaringol [Internet]. 2017 Nov 1 [cited 2018 Oct 15];46(4):1–14. Available from: https://www.sciencedirect.com/science/article/pii/S1632347517868454

Robles Godoy L. Abordatge del diagnòstic de la disfagia orofaringea en les persones grans institucionalitzades: Programa de formació per als professionals de la salut. 2017 May 15 [cited 2018 Oct 15]; Available from: https://repositori.udl.cat/handle/10459.1/59964

Kenny C, Gilheaney Ó, Walsh D, Regan J. Oropharyngeal Dysphagia Evaluation Tools in Adults with Solid Malignancies Outside the Head and Neck and Upper GI Tract: A Systematic Review. Dysphagia [Internet]. 2018;33(3):303–20. Available from: https://doi.org/10.1007/s00455-018-9892-9

Espitalier F, Fanous A, Aviv J, Bassiouny S, Desuter G, Nerurkar N, et al. International consensus (ICON) on assessment of oropharyngeal dysphagia. Eur Ann Otorhinolaryngol Head Neck Dis [Internet]. 2018 Feb 1 [cited 2018 Oct 15];135(1):S17–21. Available from: https://www.sciencedirect.com/science/article/pii/S1879729618300061

Rofes L, Arreola V, Mukherjee R, Clavé P. Sensitivity and specificity of the Eating Assessment Tool and the Volume-Viscosity Swallow Test for clinical evaluation of oropharyngeal dysphagia. Neurogastroenterol Motil. 2014;26(9):1256–65. ç

Ortega O, Rofes L, Martin A, Arreola V, López I, Clavé P. A Comparative Study Between Two Sensory Stimulation Strategies After Two Weeks Treatment on Older Patients with Oropharyngeal Dysphagia. Dysphagia [Internet]. 2016;31(5):706–16. Available from: https://doi.org/10.1007/s00455-016-9736-4




DOI: http://dx.doi.org/10.14201/orl.19359

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